为什么退伍军人选择VA与非VA紧急护理:一种定性研究
Anita A Vashi1,2,3, Emily P Wong1, Jacqueline R Egelfeld1
1Center for Innovation and Implementation (Ci2i), VA Palo Alto Health Care System, Menlo Park, CA 94025, USA.
Military medicine
|May 21, 2024
概括
退伍军人根据邻近,退伍军人偏好或财务原因选择紧急护理. 病情的严重程度和感知到的紧迫性显著地影响了他们在VA和社区急救部门之间做出决定.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 退伍军人卫生管理局退伍军人卫生管理局
- 紧急医疗 紧急医疗
背景情况:
- 退伍军人事务部 (VA) 越来越多地为社区环境中的退伍军人购买紧急护理.
- 紧急护理覆盖是VA社区护理支出的最大贡献者.
- 退伍军人关于紧急部门 (ED) 设置选择的决策尚未得到充分研究.
研究的目的:
- 确定和描述退伍军人选择VA与非VA紧急护理机构的原因.
- 了解影响退伍军人ED设置选择的因素.
主要方法:
- 使用半结构电话采访对50名退伍军人的定性研究.
- 转录的采访的定向内容分析.
- 矩阵是为了总结和分类决策过程而开发的.
主要成果:
- 确定了三个决策模式:急性疾病的最接近的ED,由于偏好/财务状况而前往更远的VA护理,或在同等距离时选择VA.
- 关键因素:对社区资源的看法,特定条件的需求,财务考虑和个人偏好.
- 自我感知疾病的严重程度/紧急性是最常被引用的因素 (74%的人将敏度评为高).
结论:
- 定性发现提供了对退伍军人寻求紧急护理行为的洞察.
- 了解退伍军人决策至关重要,因为非VA ED使用量增加.
- 结果可以为VA,非VA ED提供者和决策者提供信息.
相关概念视频
Standards of Care I
675
Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:
675
Specialized Care Centers and Settings-II
721
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
721
Standards of Care II
641
Nurses bear specific legal responsibilities under several federal statutes, including:
641
Healthcare Agencies II
695
There are various healthcare agencies in the United States—some of which are managed by religious institutions and others by different government branches.
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
695
Secondary Healthcare System
1.5K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.5K
Types of Reports III: Telephone and Verbal Reports
734
Telephone and Verbal Reports in healthcare settings are two communication methods for conveying therapeutic instructions from healthcare providers to nurses or other healthcare staff.
Here's an overview of each type:
Telephone Orders
Here's an overview of each type:
Telephone Orders
734


